| NPI | 1275103202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33964) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021021277) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-12-30 |